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40 Cards in this Set
- Front
- Back
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What are the 3 most common joints affected in OA?
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Knee, MTP, DIP
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On what side of the spine is diffuse idiopathic skeletal hyperostosis most commonly found?
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right side of thoracic spine
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What is the hallmark of DISH?
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ossification spanning at least 3 discs
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What ligament is classically affected in DISH?
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anterior longitudinal ligament
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What is a common symptom of DISH in the cervical spine?
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dysphagia
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What is DISH NOT associated with?
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sacroiliitis, HLA-B27, apophyseal joint ankylosis
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What are some systemic diseases associated with DISH?
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DM, HTN, CAD
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What are two characteristic nodes found in OA?
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Heberden's
Bouchard's |
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Where are Heberden's nodes found?
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DIP
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Where are Bouchard's nodes found?
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PIP
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Where are Luschka's joints?
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C3-5
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What is the primary xray feature of RA?
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marginal or central erosions
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What is a primary xray finding of OA?
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Assymetric narrowing of joint space
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Name two joints affected in both RA and OA
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PIP, MTP
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What is the age criteria for JRA?
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<16 years old
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How long is the duration criteria for RA?
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6 weeks
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What is another name for systemic JRA?
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Still's disease
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What form of JRA has the worst prognosis?
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RF+ polyarticular JRA
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What is the most common joint affected in pauciarticular OA?
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knee
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ANA+ pauciarticular RA have greater risk of involvement of what organ?
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eyes
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What form of JRA is HLA-B27 positive?
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pauciarticular
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Are there joint erosions in pauciarticular JRA?
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No
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What is the name of the eye condition found in pauciarticular JRA?
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iridocyclitis
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What eye exam is required in pauciarticular JRA and how often?
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slit lamp exam four times per year for 5 years
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What percentage of children with JRA recovery fully?
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70%
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What are 4 poor prognostic indicators in JRA?
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RF+
erosions nodule polyarticular with unremitting disease |
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What medication class is avoided in treatment of JRA and why?
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salicylates because of Reyes' syndrome
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Name 4 juvenile spondyloarthropathies.
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Juvenile ankylosing spondylosis RF+, ANA+
Reiters Psoriatic arthritis Enteropathic arthropathy |
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What is the birefringence of gout?
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negative
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What is th birefrigence of pseudogout?
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positive
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What are the crystals found in gout?
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monosodium urate
sodium urate |
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What systemic diseases are associated with pseudogout?
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hypothyroidism
hypomagnesmia hypophosphatemia hyperparathyroidism amyloidosis hemochromatosis |
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What joint is most commonly affected in psuedogout?
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knee
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What joint is most commonly affected in gout?
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first MTP
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What joint contracture is common in psuedogout?
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knee flexion contracture
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Is pseudogout symmetric or assymetric?
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symmetric
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What medicine can precipitate pseudogout?
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ASA
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What two medicines are used to prevent gout?
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allopurinol
probenicid |
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What is the MOA of allopurinol?
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decreases syntheiss of urate
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What is MOA of probenicid?
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increases the renal excretion of urate
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